| Chewelah Orthopedic & Sports Physical Therapy Inc. | |
|
N 119 3rd St E, Chewelah, WA 99109 | |
| (509) 935-4988 | |
| (509) 935-4985 |
| Full Name | Chewelah Orthopedic & Sports Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | N 119 3rd St E, Chewelah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235353368 | NPI | - | NPPES |
| 7091564 | Medicaid | WA | |
| 8446924 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0123911 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chewelah Orthopedic & Sports Physical Therapy Inc. Po Box 909, Chewelah, WA 99109-0909 Ph: (509) 935-4988 | Chewelah Orthopedic & Sports Physical Therapy Inc. N 119 3rd St E, Chewelah, WA 99109 Ph: (509) 935-4988 |
Paul Michael Cockerham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N. Park St., Chewelah, WA 99109 Phone: 509-935-4988 | |
Robert Ray Brewer, PT, MOMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N. 119 3rd St. E., Chewelah, WA 99109 Phone: 509-935-4988 Fax: 509-935-4985 |